Adam E Blackwell, MD in Port Washington, WI

Adam E Blackwell, MD is a medicare enrolled "Family Medicine" physician in Port Washington, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is 115 Sweetwater Blvd, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 476-6400.

Adam E Blackwell is licensed to practice in Wisconsin (license number 59957) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184913055.

Contact Information

	Adam E Blackwell, MD
	115 Sweetwater Blvd, Port Washington, WI 53074-2657
	(920) 476-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Adam E Blackwell
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	115 Sweetwater Blvd, Port Washington, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam E Blackwell attended and graduated from Medical College Of Wisconsin in 2011

NPI Data:

NPI Number: 1184913055
Provider Enumeration Date: 03/31/2011
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 6204076458
Enrollment ID: I20130711000214

Medical Identifiers

Medical identifiers for Adam E Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184913055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	59957 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Columbia St Mary's Hospital Milwaukee	Milwaukee, WI	Hospital
Froedtert Memorial Lutheran Hospital	Milwaukee, WI	Hospital
Orthopaedic Hospital Of Wi	Glendale, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc	3678760063	1052

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam E Blackwell allows following entities to bill medicare on his behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam E Blackwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adam E Blackwell, MD 115 Sweetwater Blvd, Port Washington, WI 53074-2657 Ph: (920) 476-6400	Adam E Blackwell, MD 115 Sweetwater Blvd, Port Washington, WI 53074-2657 Ph: (920) 476-6400

Reviews and Comments

Family Medicine Doctors in Port Washington, WI

Stephanie M Maves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456
Ms. Brooke Marie Lund, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1936 Parknoll Ln, Port Washington, WI 53074 Phone: 262-323-2962
Michael A Martella, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074 Phone: 920-476-6400 Fax: 262-725-0630
Scot A Wilfong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5118
Elizabeth Dzwonczyk, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100
John P Bonavia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6998

Adam E Blackwell, MD - Medicare Family Practice in Port Washington, WI